Eddy Martinez Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2084250 Issued in TX

Practice address

5000 Schertz Pkwy Ste 600
Schertz, TX 78154-1457

Phone

(210) 804-5676

Fax

(210) 804-5674

NPI assigned

Oct 31, 2011

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1649556937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21302 ENCINO COMMONS APT 7303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592727",
            "telephone_number": "956-588-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SCHERTZ PKWY STE 600",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541457",
            "telephone_number": "210-804-5676",
            "fax_number": "210-804-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDDY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2084250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "2084250",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Martin
• Patrick Wayne Martin, D.C.
• Amanda Marie Martinez
• Andrea Michelle Martinez, DPT
• Anna Isabel Martinez, MHNP
• Izabelle Marie Martinez
• Julia Marie Martinez
• Mary Jane Natividad Professional Counseling Services, Inc.
• John M. Massoud, MD
• Aileen Mata

• Physical Therapy Assistant in Schertz, TX
• Providers in Schertz, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.